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ICD-10 Guide
ICD-10 CodesD28.2

D28.2

Billable

Benign neoplasm of uterine tubes and ligaments

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D28.2 is a billable code used to indicate a diagnosis of benign neoplasm of uterine tubes and ligaments.

Key Diagnostic Point:

Benign neoplasms of the uterine tubes and ligaments are non-cancerous growths that can occur in the female reproductive system. These neoplasms may arise from the smooth muscle, connective tissue, or epithelial cells of the uterine tubes or the ligaments supporting the uterus. Common types include leiomyomas (fibroids) and adenomas. Symptoms may vary, with some patients experiencing pelvic pain, abnormal bleeding, or pressure symptoms, while others may be asymptomatic. Diagnosis typically involves imaging studies such as ultrasound or MRI, and histological examination may be required for definitive diagnosis. Management often includes monitoring for changes in size or symptoms, and surgical intervention may be necessary if the neoplasm causes significant discomfort or complications. Follow-up care is essential to monitor for recurrence or the development of new growths, especially in patients with a history of benign neoplasms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Variability in symptoms and presentation
  • Need for imaging and histological confirmation
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the location of the neoplasm
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal bleeding, or incidental findings on imaging.

Billing Considerations

Ensure accurate coding of the neoplasm's location and size, and document any surgical interventions performed.

Pathology

Documentation Requirements

Histopathological reports must clearly indicate the benign nature of the neoplasm.

Common Clinical Scenarios

Pathological examination of tissue samples from surgical procedures.

Billing Considerations

Accurate reporting of histological findings is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use D28.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the neoplasm's location and characteristics
  • Include any relevant imaging or pathology reports to support the diagnosis

Exclusion Criteria

Do NOT use D28.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopic excision of ovarian cyst

Clinical Scenario

Used when a benign neoplasm is surgically removed.

Documentation Requirements

Document the indication for surgery and findings during the procedure.

Specialty Considerations

Ensure that the surgical specialty aligns with the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of benign neoplasms of the uterine tubes?

Common symptoms include pelvic pain, abnormal bleeding, and pressure symptoms. However, many patients may be asymptomatic.